Please I need the assistance of a gynaecologist in the house.

hajiaaishah:
Please I need the assistance of a gynaecologist in the house.

Inbox me

@Dr Cynthia, I went for a pelvic scan due to irregular and very scanty menstrual periods. The scan report says bulky uterus of AP=46mm in diameter, retained products. Please doctor what can I do about this as I'm trying to conceive.

hajiaaishah:
@Dr Cynthia, I went for a pelvic scan due to irregular and very scanty menstrual periods. The scan report says bulky uterus of AP=46mm in diameter, retained products. Please doctor what can I do about this as I'm trying to conceive.

Well, let's take it one after another.
Problems.
1. Irregular and scanty menstrual period from ur history

2. Bulky uterus with retained products (did u have a recent pregnancy loss)
3. Trying to conceive.
Solution.
1st I will advice u go to a hospital. Maybe a General Hospital or teaching hospital around u (reason being that u will find a specialist there) for proper health consultation.
2nd while u r there, u Wld see a gynecologist who Wld take a look at ur scan and maybe order for a repeat scan and know the appropriate measure to take in emptying the uterus if nessesary.
3rd After which u will be properly investigated for the cause of infertily and appropriate measures taken to help u conceive.

Hope this helps.

Yes, I had miscarriage about two to three years ago.

hajiaaishah:
Yes, I had miscarriage about two to three years ago.

2-3 years ago.... U need to see a doc to examine u. And repeat the scan.... At the drs request.

This is the third time I'll do the scan and the last sonologist suggests I go for evacuation and I was a kinda bothered. Please is evacuation the best option?

Babe, it is most unlikely that the bulk seen in your uterus is retained product from your 2-3yrs ago miscarriage. I will suggest you see a specialist, maybe there's a recent mis-miscarriage you didn't even notice. I wish you a quick launch to motherhood dearie...may God bless you with beautiful and healthy babies.

My question now is that is it advisable to go for the evacuation stuff as suggested by the sonographer

hajiaaishah:
My question now is that is it advisable to go for the evacuation stuff as suggested by the sonographer

See a specialist and get examined, not a sonographer.
Tcare

Pls gynea and obs in d house, i did a semen anaysis test not quite long and i was issued the result but cant interprete it pls can u guys help me out and gimme proffesional advice. Thanks the result goes doea

Clinical diagnosis- 1 degree infertility
PH= Alkaline (alkaline)
Volume= 5.0ml (3.0-5.0)
Viscursity=weak (moderate-excellent)
Total cell count=13.0*1000000 cells/ml(20.0*1000000)

MORPHOLOGY
Normal cells=50%(75-100)
Iimmature cells= 25%(0-10)
Pointed head=10%(0-5)
Swollen=10%(0-5)
Double=05%(0-5)

VIABILITY AFTER
1hr=60%(70-100)
2hr=50%(60-70)
3hr=40%(50-60)
4hr=30%(40-50)

MOTILITY
Purpessine=50%(70-100)
Rindium=05%(0-10)
Slyph-05%(0-10)
Non-motile-40%(0-10)

MICROSCOPY
Pus cells=2.3/Hpf(0-3)
Epity cells=+(few)
Yeast cells=nil(nil)
Rbcl 1. Vaginab=nil(nil)
* culture yielded no badenel growth after 48h incubation period at 37degreeC..

Note that i might not get d spellings correct but that is what i saw and everything written in bracket is wriiten with red pen thanks

drcynthia:

See a specialist and get examined, not a sonographer.
Tcare

Waladade4luv:
Pls gynea and obs in d house, i did a semen anaysis test not quite long and i was issued the result but cant interprete it pls can u guys help me out and gimme proffesional advice. Thanks the result goes doea

Clinical diagnosis- 1 degree infertility
PH= Alkaline (alkaline)
Volume= 5.0ml (3.0-5.0)
Viscursity=weak (moderate-excellent)
Total cell count=13.0*1000000 cells/ml(20.0*1000000)

MORPHOLOGY
Normal cells=50%(75-100)
Iimmature cells= 25%(0-10)
Pointed head=10%(0-5)
Swollen=10%(0-5)
Double=05%(0-5)

VIABILITY AFTER
1hr=60%(70-100)
2hr=50%(60-70)
3hr=40%(50-60)
4hr=30%(40-50)

MOTILITY
Purpessine=50%(70-100)
Rindium=05%(0-10)
Slyph-05%(0-10)
Non-motile-40%(0-10)

MICROSCOPY
Pus cells=2.3/Hpf(0-3)
Epity cells=+(few)
Yeast cells=nil(nil)
Rbcl 1. Vaginab=nil(nil)
* culture yielded no badenel growth after 48h incubation period at 37degreeC..

Note that i might not get d spellings correct but that is what i saw and everything written in bracket is wriiten with red pen thanks

It's well explained, viability= the quality, morphology = particular form, shape, or structure, viscosity=the state of being thick, sticky, and semi-fluid in consistency etc.
Well, from the result u posted, most of the parameters and below the lower limit of normal.
The range d lab used is more or less correct.
Normal limits are
Color- Grayish white.
pH- 7.3-7.8 .
Volume- 2.0-5.0 ml.
Sperm count- 20-250 million/ml. Motility >60% motile <3 hours after specimen is obtained.
% Normal sperm >60%.
Viscosity -Can be poured from a pipet in droplets rather than a thick strand.

From the result u posted, I think the patient has Low sperm count. It is a condition called oligospermia This is the term used to describe the condition when the sperm count is low, less than 15 million sperm/ml.

I'd suggest u meet a specialist to know the next step to take.